RxDoctor Payments Data

Jeffrey Fischgrund, MD

Orthopaedic Surgery · Southfield, MINPI 1447231725

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $1,614,341 of the $1,754,103 with a category attached, or 92.0%. Stryker accounts for 79.6% of it on its own, with 42 other manufacturers making up the rest. Reporting peaked in 2019 at $351,011 and has fallen 62.1% since, to $133,008 in 2025. Among orthopaedic surgery clinicians in MI with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$1,754,103in general payments, 2019–2025

Across 732 payments — averaging $2396.32 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Stryker$1.4M
  • Relievant Medsystems, Inc.$229K
  • VB Spine LLC$77K
  • Ossdsign USA Incorporated$23K
  • Bioventus LLC$15K
  • Globus Medical$2K
  • plus $11K from 37 others
$38,432in research payments, 2019–2025

Across 13 payments — averaging $2956.31 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • Medtronic$27K
  • Ossdsign USA Incorporated$7K
  • MML US, Inc.$5K

What the payments were for

  • Consulting fees$1,614,34192%
  • Speaking & faculty fees$73,1304%
  • Travel & lodging$46,2923%
  • Food & beverage$20,3391%

General payments by program year

19
20
21
22
23
24
25

Who reported the general payments

Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.

What the payments were tied to

Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.

How this compares

$1,754,103 in reported general payments places this provider in the 95th percentile of 829 orthopaedic surgery providers in Michigan.

See all orthopaedic surgery providers in Michigan

Medicare billing

Part B allowed, 2024
$149,503
Medicare patients
177
Services billed
604

What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.

Most prescribed under Part D

DrugClaimsCost to plans & patients
ShingrixVaricella-Zoster Ge/As01b/Pf59$12,177
Boostrix TdapDiphth,pertuss(Acell),tet Vac17$1,048
Methylprednisolone20$88
Methocarbamol17$62

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery in Southfield

See the full list for Michigan

Where these figures come from

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